ABSTRACT
The outcomes of consultations include patient satisfaction, recall of the physician's explanations and changes in the patients' concern about their symptoms. Intermediate outcomes refer to the patient's compliance with the physician's instructions. Finally, the long-term outcome of greatest importance is the change in the patient's health status. The aim of this study was to study the quality of consultation regarding its duration and out comes in terms of enablement [satisfaction] and compliance. All patients aged? 18 years attended Fanara PHC centers affiliated to Suez Canal University and Ministry of Health and Population were selected randomly according to the sample size equation [375 patients]. They exposed to a pre-consultation questionnaire including questions about some sociodemographic variables and the type of patient problem [acute or chronic], the cause of visit, his ability to choose his consulting physician and previous physician n patient relationship. Doctors, completed another questionnaire including the duration of the consultation and whether the consultation was new or follow up session. After the consultation, the patient completed the patient enablement instrument, all information were recorded on a single form. The patient's pre-consultation information were hidden from the doctor on completion, and outcome questions were hidden from the patient before the consultation. After one week or in next, session the patient compliance determined by using bill counting method. The main duration of consultation in this study was [6.69] minutes. About 68% of physician consultations were of duration = 5 minutes. The mean enablement score in this study was [4.37]. the current data indicated that the mean enablement score increased in association with increasing the duration of consultation [p<0.0.5]. also it demonstrated that established doctor n patient relationship and the ability of the patient to choose his consulting physician were associated with more enablement score [p<0.0.5] also, it was found that there was positive correlation between age and social score in one hand and enablement score on the other hand, the older patients were more enabled [p<0.05] non-significant correlation was found between gender of the patient and mean enablement score [P=0.8]. this study indicated that about 60% were adherent to the management plan comparing to 6.13% were non-adherent. There was positive and significant correlation between the enablement score and the duration of consultation in addition to the degree of compliance [p<0.05]. The current data indicate that building established doctor-patient relation and giving more time for consultation are associated with more improvement in the outcome of consultation in terms of enablement and compliance
Subject(s)
Humans , Male , Female , Physician-Patient Relations , Patient Satisfaction , Surveys and Questionnaires , Patient ComplianceABSTRACT
The different types of bottles manufactured at El-Nasr Glass and Crystal Co., Mostorod Factory, were tested to determine their class according to the USP. The corrosion resistance of such bottles towards the attack of water, HCl, NaOH and methyl and ethyl alcohols at different temperatures and times was also studied. The results obtained showed that amber glass bottles belong to class III, whereas, green and colorless bottles belong to the NP class according to the USP. The difference in their corrosion resistance was related to the lower alkali content of amber bottles compared to colorless and green bottles. The results of the effects of the different aqueous solutions, as well as temperature and time of attack, were similar to that published on glasses of similar chemical composition